Individual provider Active NPI

Ismat A. Pervin, M.D.

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1417113978
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 102405 Issued in FL
Practice address
1040 SW 2ND Ave
Ocala, FL 34471-0926
Phone
(352) 732-3005
Fax
(352) 732-9828
NPI assigned
Aug 4, 2008
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 102405 FL Primary

Addresses

Primary practice location

1040 SW 2ND Ave
Ocala, FL 34471-0926

Mailing address

1040 SW 2ND Ave
Ocala, FL 34471-0926
Phone (352) 732-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081013000070 FL Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Infectious Disease 2365510716 Reassigns benefits to 3 organizations
I20250304001991 CT Practitioner - Family Practice 2365510716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1451 El Camino Real
The Villages, FL 32159-0041
Phone (407) 647-2346

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 102405FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 1, 2025 Accepting new patients
Cogent Healthcare of Pensacola LLC Family Medicine Current Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Jan 1, 2010 Accepting new patients
Inpatient Care Specialists LLC CurrentSince Jun 1, 2016 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Jan 1, 2010 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • Direct secure messaging: ismat.pervin@xdr.hhchealthdirect.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1417113978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SW 2ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710926",
            "telephone_number": "352-732-3005",
            "fax_number": "352-732-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SW 2ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710926",
            "telephone_number": "352-732-3005",
            "fax_number": "352-732-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVIN",
        "first_name": "ISMAT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 102405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.